Dupuytren's Disease

A Concept of Surgical Treatment
2003
ISBN: 978-3-211-83656-9
Verlag: Springer Vienna

Buch, Englisch, 241 Seiten, Format (B × H): 215 mm x 285 mm, Gewicht: 1380 g

Morbus Dupuytren is particularly widespread among northern Europeans. However, the therapeutic success-rate often leaves much to be desired. A 50% recurrence-rate after surgery indicates that the disease cannot be treated by surgery alone. This book therefore adopts two parallel approaches: emphasis is firstly placed on the systemic character of morbus Dupuytren in context with other connective tissue diseases by a description of the biochemical and molecular-biological changes in the diseased connective tissues; secondly, a diversified picture of the given anatomical facts serves to explain the employment of the various therapeutic approaches. Further, a description is given of the current surgical procedures.

Zielgruppe

Professional/practitioner

Autoren/Hrsg.

Brenner, Peter

Rayan, Ghazi M.

Weitere Mitwirkende

Millesi, H.

Schimek, H.

Gratzer, J.

Twisselmann, B.

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete AINS Anästhesiologie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Orthopädie- und Unfallchirurgie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Plastische, Rekonstruktive & Kosmetische Chirurgie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Vorklinische Medizin: Grundlagenfächer Anatomie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Minimalinvasive Chirurgie, Laserchirurgie, Laparoskopie

Inhaltsverzeichnis

1 Introduction.- 2 Dupuytren’s disease—a historical overview.- 3 Epidemiology.- 4 Theories concerning etiology and pathogenesis.- 5 Ground substance and cells of the extracellular matrix.- 6 Subjective complaints.- 7 Symptoms of Dupuytren’s contracture.- 8 Course of Dupuytren’s contracture.- 9 Anatomy of the palmar fascia (G. M. Rayan).- 10 Classification.- 11 Conservative therapy.- 12 Surgical goals.- 13 Surgical indications.- 14 Selection of surgical techniques.- 15 Contraindications.- 16 Informed consent.- 17 Preoperative work up.- 18 Instruments.- 19 Anesthesia and positioning.- 20 Operative technique.- 21 Additional measures to improve hand function.- 22 Postoperative treatment.- 23 Errors, hazards, and complications.- 24 Results.- 25 Conclusions.- References.